This document serves to provide authorization to your mortgage lender(s) to release your mortgage payoff to. NOTE: We will issue a CERTIFICATE OF RELEASE in this transaction for the mortgage(s) being paid. YES.Your prompt attention to this matter is appreciated. Sample Forms, Policies, and Contracts. Sample Form of Payoff Letter. A mortgage payoff letter can come in two forms. One form tells borrowers the remaining principal amount and interest they have to pay to close out the loan. Your lender should provide you with a mortgage payoff statement that shows how much you owe to pay the loan off in full. A mortgage lender might ask you to write a letter of explanation to better understand your finances when deciding whether to approve you for a loan. Alternatively, your lender may have a form you must fill out.